Healthcare Provider Details

I. General information

NPI: 1639016256
Provider Name (Legal Business Name): TENISHA ROBINSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 EMMONS AVE
WARREN MI
48091-4232
US

IV. Provider business mailing address

2715 EMMONS AVE
WARREN MI
48091-4232
US

V. Phone/Fax

Practice location:
  • Phone: 586-615-3201
  • Fax:
Mailing address:
  • Phone: 586-615-3201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: TENISHA ROBINSON
Title or Position: OWNER/COMMUNITY HEALTH WORKER
Credential: ROBINSON
Phone: 586-615-3201